Disseminating Lessons Learned From Serious Incidents (SI): Multidisciplinary Ward Based Simulation and Bite-Sized-Teaching

Aims Improve staff confidence in responding to and managing ward based medical emergencies Methods The deputy borough lead nurse, a clinical nurse manager core trainee met discuss how build across all ward-based following number of recent SI. Initially, weekly simulations were conducted. Scenarios SI focused included choking, drug overdose, head injury hanging. Whilst it was clear there an appetite for learning upskilling, unannounced did not appear foster relaxed, productive environment conducive building confidence. Following four weeks simulation, the approach altered. Instead simulations, sessions broken down into three parts. Firstly, each session began with brainstorm ‘key roles any emergency’ (call help, vital signs, scribe…), this followed by skills on key topics. Areas identified MDT discussion feedback focus group. These were; 1. Grab bag orientation, 2. Oxygen delivery, 3. SBAR handover, 4. Operating suction machine, 5. A-E assessment. Finally, ended practicing CPR first aid training manikins. Sessions ran once or twice week, depending availability, rotating through seven inpatient wards. Each lasted approximately 20 minutes two run back-to-back order ensure where possible every member working that shift able attend. have been running since mid-September. To date we total twelve conducted both out-of-hours. After participants asked fill out feedback. A ‘flash card’ providing quick action prompts applicable drafted reviewed trust's resuscitation inclusion emergency grab bags. In addition teaching, grab-bag orientation during doctor's induction. Results Ward learning: attended nurses, social therapists, occupational therapists doctors grades. Approximately sixty people bite-sized teaching date. All found useful relevant. Junior doctor induction: attendees at inductions strongly agreed useful. 100% helped increase their around 78% agreeing. improved utilising bag. Conclusion People severe mental illness are greater risk poor physical health higher premature mortality than general population. Responding psychiatric setting is source anxiety most staff. Currently, nursing settings required ILS training, many feel annual course insufficient. majority response team BLS no all. Lone doctors, unfamiliar available equipment lack act optimally. There great regular training. Our well received,